Individual
MR. SEAN EVERETT STANTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
4100 BRONCO LN, ZACHARY, LA 70791-3024
(225) 658-7552
(225) 654-4298
Mailing address
36026 RALEIGH DR, DENHAM SPRINGS, LA 70706-1530
(225) 791-7724
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATHJ00354
LA
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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